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MCQs chapter 33
DR. ALI ZAIN
1. C1
How much hemoglobin is present in 100ml of blood?
A) 20 gram
B) 15 gram*
C) 45 gram
D) 34 gram
E) 1.34 gram
2. C1
Which structure is involved in Hematopoeisis occurring from Last
month of gestation uptil 5 years?
A) Bone Marrow of all bones*
B) proximal portion of humerus and tibia
C) only membranous bones
D) liver spleen lymph node
E) Bone Marrow of cartilaginous bones
3. C2
A 54 year old patient known case of chronic kidney disease presented
with low levels of hemoglobin. This anemia is because of?
A) Decreased proerythroblast production*
B) Decreased reticulocytes in bone marrow
C) Decreased reticulocyte production
D) Decrease conversion of proerythroblast to reticulocytes
E) Decreased levels of Vitamin B6 and B12
4. C2
A 45-year-old female presents to her primary care physician
complaining of fatigue, weakness, and shortness of breath on exertion.
On further examination, the physician notices pallor and conjunctival
icterus. Lab results reveal a low hemoglobin level of 8 g/dL (normal
range: 12-15 g/dL).At which stage of erythropoiesis does hemoglobin
first appears?
A) BASOPHIL-ERYTHROBLAST
B) POLYCHROMATOPHIL-ERYTHROBLAST *
C) ORTHOCHROMATIC-ERYTHROBLAST
D) RETICULOCYTES
E) PRO-ERYTHROBLAST
5. C3
A newborn is experiencing respiratory distress with rapid breathing
and some grunting sounds. On examination she has Heart Rate: 160
bpm, Respiratory Rate: 60 breaths per minute, SPO2 78% and mild
hepatosplenomegaly. She was admitted to the neonatal intensive care
unit (NICU). Peripheral Blood Smear shows Presence of nucleated red
blood cells and target cells and Low MCV. What is most likely
diagnosis?
A) Iron deficiency anemia
B) Sickle cell Crisis
C) Sideroblastic anemia
D) Hemoglobin C
E) Hemoglobin barts*
6. C3
A 50-year-old male with a history of chronic alcohol abuse presents to the
gastroenterology clinic with complaints of abdominal pain and dark, tarry
stools. He reports a long-standing history of heavy alcohol consumption and
denies any recent episodes of gastrointestinal bleeding. Upon physical
examination, the physician notes hepatomegaly and spider angiomas on the
patient's skin. Laboratory tests reveal elevated liver enzymes and decreased
platelet count. In liver biopsy deposits of which of the following will reveal
liver cirrhosis?
A) APOFERRITIN
B) APOTRANSFERRIN
C) HEMOSIDERIN *
D) FERRITIN
E) FREE Iron REDICALS

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CHAPTER 33 MCQs (2).pptx

  • 2. 1. C1 How much hemoglobin is present in 100ml of blood? A) 20 gram B) 15 gram* C) 45 gram D) 34 gram E) 1.34 gram
  • 3. 2. C1 Which structure is involved in Hematopoeisis occurring from Last month of gestation uptil 5 years? A) Bone Marrow of all bones* B) proximal portion of humerus and tibia C) only membranous bones D) liver spleen lymph node E) Bone Marrow of cartilaginous bones
  • 4. 3. C2 A 54 year old patient known case of chronic kidney disease presented with low levels of hemoglobin. This anemia is because of? A) Decreased proerythroblast production* B) Decreased reticulocytes in bone marrow C) Decreased reticulocyte production D) Decrease conversion of proerythroblast to reticulocytes E) Decreased levels of Vitamin B6 and B12
  • 5. 4. C2 A 45-year-old female presents to her primary care physician complaining of fatigue, weakness, and shortness of breath on exertion. On further examination, the physician notices pallor and conjunctival icterus. Lab results reveal a low hemoglobin level of 8 g/dL (normal range: 12-15 g/dL).At which stage of erythropoiesis does hemoglobin first appears? A) BASOPHIL-ERYTHROBLAST B) POLYCHROMATOPHIL-ERYTHROBLAST * C) ORTHOCHROMATIC-ERYTHROBLAST D) RETICULOCYTES E) PRO-ERYTHROBLAST
  • 6. 5. C3 A newborn is experiencing respiratory distress with rapid breathing and some grunting sounds. On examination she has Heart Rate: 160 bpm, Respiratory Rate: 60 breaths per minute, SPO2 78% and mild hepatosplenomegaly. She was admitted to the neonatal intensive care unit (NICU). Peripheral Blood Smear shows Presence of nucleated red blood cells and target cells and Low MCV. What is most likely diagnosis? A) Iron deficiency anemia B) Sickle cell Crisis C) Sideroblastic anemia D) Hemoglobin C E) Hemoglobin barts*
  • 7. 6. C3 A 50-year-old male with a history of chronic alcohol abuse presents to the gastroenterology clinic with complaints of abdominal pain and dark, tarry stools. He reports a long-standing history of heavy alcohol consumption and denies any recent episodes of gastrointestinal bleeding. Upon physical examination, the physician notes hepatomegaly and spider angiomas on the patient's skin. Laboratory tests reveal elevated liver enzymes and decreased platelet count. In liver biopsy deposits of which of the following will reveal liver cirrhosis? A) APOFERRITIN B) APOTRANSFERRIN C) HEMOSIDERIN * D) FERRITIN E) FREE Iron REDICALS